E3 CHAP 26
A client with chronic hypertension (HTN) refuses to take prescribed medications. For which potential cardiac disorder should the nurse monitor this client?
heart failure
The nurse is teaching a client about nonpharmacologic approaches to reduce blood pressure. For which client statement should the nurse intervene?
"It is okay to eat saturated fats, but I need to decrease my intake of unsaturated fats."
A client with hypertension receives an initial dose of a direct vasodilator. For which potential adverse effect should the nurse monitor this client? (Select all that apply.)
hypotension bradycardia dizziness
The nurse explains that angiotensin-converting enzyme (ACE) inhibitors cause bradykinins to accumulate in the blood. Which adverse effect of ACE inhibitors should the nurse recognize is due to this buildup?
Angioedema
A client with hypertension asks about types of medications that are known to reduce hypertension-related morbidity and mortality. Which drug class should the nurse include in response? (Select all that apply.)
Angiotensin receptor blockers (ARBs) Thiazide diuretics Calcium channel blockers (CCBs) Angiotensin-converting enzyme (ACE) inhibitors
A client is prescribed a diuretic for treatment of hypertension. Which information should the nurse include when teaching about this medication? (Select all that apply.)
Diuretic use will decrease fluid volume. Diuretics are one of the first drugs used to treat hypertension. Urinary output will be increased.
The nurse is teaching a client about nonpharmacologic treatments for hypertension. Which outcome goal should the nurse suggest? (Select all that apply.)
Exhibit a measurable decrease in blood pressure Eliminate the need for pharmacotherapy Minimize dose of antihypertensive drugs needed
The nurse is assessing a client with hypertension. Which data should the nurse obtain to ensure the best medications are prescribed for this client? (Select all that apply.)
Full set of vital signs Complete drug history Full health history Client readiness for learning
A client is prescribed spironolactone (Aldactone). For which electrolyte imbalance should the nurse monitor this client?
Hyperkalemia
A client has been diagnosed with secondary hypertension. For which possible cause should the nurse question the client? (Select all that apply.)
Past use of oral contraceptives work exposure to asbestos cushing's syndrome
A client with hypertension appears confused about the treatment regimen. Which factor should the nurse discuss to individualize medication management? (Select all that apply.)
Presence of comorbid medical conditions risk factors Degree of blood pressure elevation
A client asks why angiotensin-converting enzyme (ACE) inhibitors cause coughing. Which action of an ACE inhibitor should the nurse include when responding to the client?
Prevention of bradykinin breakdown, leading to its accumulation
The nurse is teaching a client about losartan (Cozaar). Which should the nurse identify as a therapeutic use for this medication? (Select all that apply.)
Prevents type 2 diabetic neuropathy treats hypertension Guards against stroke in left ventricular hypertrophy
The nurse is asked how calcium channel blockers improve heart function. Which information about these drugs should the nurse include in the response?
They reduce ischemia by delivering more blood to the myocardium.
The nurse prepares teaching on hypertension (HTN) for a community health fair. Which organ should the nurse identify that is most affected by this health problem? (Select all that apply.)
kidneys heart brain retina
A client is receiving lisinopril (Prinivil). For which adverse effect should the nurse monitor this client? (Select all that apply.)
orthostatic hypotension dizziness cough
A client taking an angiotensin-converting enzyme (ACE) inhibitor to treat sustained hypertension reports a persistent cough. Which response should the nurse provide to address the client's symptom?
"A persistent cough is common with ACE inhibitors, particularly early in therapy."
The nurse is providing instruction to a client who is taking a calcium channel blocker. Which client statement should indicate to the nurse that additional teaching is required?
"I don't have a scale, so I can't weight myself every day."
A client is experiencing a hypertensive emergency. Which type of medication should the nurse anticipate administering concurrently with a direct vasodilator to help prevent reflex tachycardia?
Beta-adrenergic blocker
A client taking hydralazine for hypertension experiences a rash, itching, fever, and myalgia. Which health problem should the nurse suspect is causing these adverse effects?
Lupus-like syndrome
